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HomeMy WebLinkAboutbocc.con.064.1992 M ti�} f L � 1 �.,+ • � F� ,.k.. " . . �ti � � �Ctt' Y,�14.4,j., .y, -.�.� S h..k j'a.-:� � � � �r.` �. : �' si ..�"" � l' g.� l .¢y �♦, 4v {- � 'R •��. •; �,F s..,, {. :fgi .•t � .a a `'K �,.�� �i r �` _ . . . a . � - � al -- " , ���'�� �•' �'" .r�'a.�iAi�. _ . ,�� � � C; �!'1 -� � - . . � ' � I492 CSHG PROJECT PLA.Y - G�;jr��; Piiicin Cossntv fSvaan Se:-�fces �eoat�nent ADbRES5: O�Qi Cas:ie Creek Roac, Sa.[e t9 _ '��- , 4n201ECT CON'i'ACT PEI2SON• ��nc�• Sundeen r��': �(Naae) {Phone) . - Ruran Ser�•ires D:rec.�r (Ti.le) i ��� � < CCUtt'fIES ZNCLtSb�b IN THI5 PL�►N (for �ulti—coun.y seYViCe �r�as): � , t D�tTE: -/1%!92 CSgG ALLOCATION S °»OA•�� , I. 02t�gctiv�s: Frofl the lise of CSBG proqraa object�ves 8esarib8d in page � o; �Ke ��ate CSB6 Guiflalinea, ch�ck Which � ob�nctive($) your pro�ect activity(iea) aill ba uddrQSaing. � Fos aach activi:y, tiST ONLY ONE fQaaral ab�}ective. Also, t identify thQ cotal aoouni of your CSBG funds you arQ ` � alioeatinq to aach fedoral ob�activQ chQCkad be1oK. �' � Eg,deral Obiective c¢sc: F�nA� 1�ilocated � � 1. Employannt 5 2. Education g '� � 9. Usn ot Availabla Incor�a S � t 4. Housinq g s ' S. Emarqency AssistaacQ ?hrouqh Loans � or Granff $ 6A:s.00 � s. Comaualty Particigation S �pe•�— � :. uae of Other Programa S � ' ,} s. Coordi�aea i Eutablfsh Llnkagas i Batveen Govarnaental i Other Social � Service Prograas S 19'�•"� ` � 9. Encourage use oI Enticies fn the Frivate Sactor ot the Community in � Eftorts to l►mello�ate Pove�ty 5 � 10. EmargeRCV Adsistance Co Counteract � Starvat�on aad MalnuCrition 5 , . � 1 Total CSSG Moaies Allocated to DirecC S�Q�,.�„ , �� � Services (Do not include CSBG Punds allocated for Agency j Administration. � Dfrers,t Clfent Service Dollars.) -�;?� � .�` - � - � _ . __ . _ _ . _..=��...,.;.....,�...._----�.___. _,. ... ..._ _ _ . - �^`; , ."�,:�.�.,�,..�.'"°'"'°°°�+'' � ' ��. . .. • . .. . ... . � {.,� � M���� • . ..\ . . . - .. � � ... . . �� � � 1. � � .. . . #'� . .. S �x�I�:'� ^ . . .. . _ . . " � . . . Y' . • ` . " _ . ` " - . ' - . ' . . ��� . " � . .� �� ' . � !.. . ' . . • . . . Y) _. �'!/F�' . '� T (� Y ' +� -Y .�\..t_�.'•.. _ .� _ ♦ � ' j - E 3✓ - - �`..� t " _ �i. . . - ... . . +S .�, y. w ' ` t �. ` . I,�. k .� * i alR:ll��i2 . �i' ,� „i �. !� 5i� " ti" +° ,i,r r-c. L �� f �39 i �si r µ,;_ 5; .t �a �'s 5,. "� � s:; :<e ':.r�'�+`�r�Y�"•�.�`��r� �. < ,g �;,� �i1 �. :Ri. �. '+s�Jlii� .�' . �' 7. . r r. . � ii. AcCivities. bescribe the proposed projact activity(ies) Eor $ �hich you are using your CSBG funds. The fallouinq should b� ;; inClud�d for each activity: �� A. Federal C5ffG objective from Part I., Choose _only on� � - ��d�ral obi�ctive which encompasses most directly th� ; 1►ctivicy(fes) you are describinq and you are funding aith � � C58G funds. � � H. Type of SAtV�CB provided: Direct (client relat�d) or ! _ Indi�ect (agency guppart). C. Brief desc��tien of the activity(i�s). . D. Prabie�a rdettctet6ation: lihat problem ars you attQmpting to addresg by aliocatinq CSBG funds to this activity? Haa vas ehg problem identffi¢d3. E. Targee populatton to ba servsd, if dir4ct servico acLivity. " f. Lint all subcontractors who will ha providfng any aorvicos £undnd wiih CSBG funds, whnrn applicablo. (Any parson or orqaniaation who is n�t �+ diract Qmployoa o! tha applicant tor C3gC iunds.) . .'y . x F { { �: f. �.. .;� f 7 .. 1 i.� � • f . f 3 '+.+ N�, � �. � �. z �� _ i __ _. __ �._� ___ _--- - _f. . _ . M .. . � - ' . f" '-.~�. . { Y,� �1";' . . . � .. .... . � .. .. .. . . . " V> � . . � . . . � �yI." . " '� . � . . _ . - � .. . O�w=' . �� . . . - '� _�i . . S; - . . � ., . . � . ' . . ' � . �� �.. ' , � . ,i ' � � � � • . . ' �f� . . - � �. . . . . . . , . . � � � ,._ �� { . Y� ' . f;[`.�� ` � 31�r-h ;L J ; � �.x� ( ���CSi \ ��I / :i�, - I � � � r 1 .s � � �.: ,����,y �.��tSS�S G�t � .. .`-?�•�. y.� ♦ t •' -- . ��"`* :i '�..s+Y. `i�:".'SI`.`..-.1�i.���"�.w _ .7'-. . . -ss•� nir � '�: , ' . ♦ �', . .. J.,7. t�crrvt�rt�s i,�': t� I. HP1►LTN 5�I2VICES i .-- A. C58G Objective /5 -E�nergency J�ssistance ' � B. 6irect s�rvice � '- C. �o provide i)care, edu�etion gnd Norpiant ��rt� Control for Pitkin County�e indigenC populat:on 2) � " aere, diaqnosis for sexually transmitted d=agase screening to community residents unabie ko acceas ` healtn care becauae of in�biiity �o pay D. Hany Who ae�ak tn�ae aarviceg are b�1ow 125� af poverty and might not othstwige acces� servicc�, ; E. Low incomg (125t oE pov�arty or b�iow) in need of services P. Nl► II. COUNSELING CSNTER �} A. CsBG objoative /s -Emorqonay Assistance e. Diract S�rvics C. Nantai Htaith coun:elinq For ehe indiqa�t with no oehar �eans ot pey�nt " " D. As e� r�sort town, the 1lspan ar�s attracls non- rosiQants who ara et :�ro fae on s requler slidisw !e� acal�. 111so, rosldonts vho aro in crit�cal 1!!• situations snd unable bo pay for services I�. Pare tioo, or sransiant low inco�o p�rsons nc�ding �a�ntal h�a1Ch ine�rvention. All cliants s�rvfd will � bt within tha 125i guid�lin�i P. N11 . llt. BENIOR SER��ICE5 , A. C58G objective !6 -Cow�unity Participation � CSBG Objactive Ie -COOrdinate/Establiah Linkagas � B. Indiract ServtCe (Olscounl. Book) , Dlract Servica (Intorwa�ion and Relerral) C. Updati�g and expanaion o1 Senior Discount Book and Prograw. Intoraotion and Relerral and Outreech 1►asiatant (partlally tunded). A. High pricas tor goods and services are otten out ot tha atfordability range tor saniors. There la a aoed !or a central source oi inforsation eapable of Warkiag } ++ith elderly clients E. Seniors over age 60, ospecially those low inco�e - seniors in need ot assistance and services � '_ F. N11 r; i '� � � � t - . ,..._..,-�___ �MN _ �.,�..... ._._..::,.;40°;, '. _.__� ...__.._w� _.__._..._ ...�_ Iti:;l�'�`,._...� �. - •� ' ��` -' - � � - ' . 4� iv �-, , . � � �:" ' � • , . , �� . _ ' <? �, � - r L � .. ��!'t �. i�St � �� '��:` './. 'S�dC�f. -� .` � ��.'�..M :fs .� r / ._ / . y �- � 'j I� ` -•C . >Y,�„ y r�{� � . :f�. � � =���gT 1-' �i.. tr�- � � 4 (�• j '�I I �J'�� r;� �.7.f'���:�11�M��d����-�� . . - a►._.. .n'+nt.i� ��S �,�. .. . . .d!-.� � _ T� • . . �. � IV. PRQ7ECT EVAWATZON PLAN ,- � t- FIRST 52X ltONTHS TiiELVE MONTHS �-'` t ;` Efficfency Neasure of o9J � of Persons Planned ! of Pezsons Planned �°�: . � Each AcCivfty � To Be Served Expenditures To Be Served Bxpenditures S t �= Uir ct. Service s; �ctivitv rt � NEALttI ( l. �tarpignc S S U50.b0 10 �500.00 2. S'�D S 10 387.tl0 20 �74.00 I COUNSELtItC S l0 1100.d0 30 2600.00 St�i[OR SERVICES '"`'` t. fofocaatio�/ � t • Refarral 8 250 962.00 t 500 1924.00 ; h� Parcieipaoca 25 n/a 4S o/a � r � ; Indi!!c� 't�vica � � � ��tt.►iev � °{?1 . SEIiIOR SERVICES 6 rt/a �� ��•� ^*�� 2 Disaount 0ook . Etlectiveneas Measure oL Firat Six lSonths n+alva Months Each 1lctiviCy 8lanned Result Alanned Result . f � 1 � _� oire�r se.��i�e$ ,' `;, �f a��T� �.„ Iacreased access to patie�t ca�e Reach 5 paciente Reach 10 padeats : ;,, aqd education � , � Increaeed a6ility to provide lab Reach 5 patbtents xeach 10 patieats test&, eiedieatioas � Ar. Ref. ��t �,,_ __ --__ .,__.��.,,_-�.______ .�..�' _. _..____ _..._,.�� ,�,�..._. . ,__ ,.� _ - .�- � �-": . _ � V .. , � � .]. �.f�' . . . : . \, . f . . � ie �� � - , � I . �x �E: q�� � _ • - . }� �. . T _ � � +� � � �4,��„'zj 'tI' `j �� k.� •"� s �tz, ?tr�� ''df� a�sFP » ��., 1 k {�.r4� -^�i 3uS t.s ry, :�'°��r, � f:'� •,.�' '�4 t A.,��#r``#e` ' s. T •�i'' � �kg �.'. -���•, s. �t�^1)r` . *��r:����itT�: _ •'!' _p�'YIY� �`����'. � 4, � ; birect 5ervices - �� , � CAItNS�i.IkG i_ .. x_ Mr�ct 5ervices of Mtntgl Health Coungeling Yp �� .4�_ �r, St�tl0ft3 - increased ava�renes� oE serviceg� - � us� of iefo/ref, nev partictp�tant� ZSO 2/tt 50tl I/$ eoncbcc� � ' 25 n�+► parti- 45 nev partitipancs y.- < � ripanc� < � � � � � .rs`+` � � , � � 4 . =i _ � �_ a -_ :y. 1 ' � .. . . � .. � t����i ��.. .•� ��%i��. F ��:.T:� j �;. , I � 1 . . . �. �: . � '�`��i�. '...�� _ . "'�:. . -_____ .".____ . . �� � ` �� � _{' �t.. - : �. �� .. �1 _ � . � . . . - � • � �?, - _ , ' '� , �. _ ` f �.:� . - �.. - . � _ � . �`�� ` ' ` � d ' . �' r �' - _. � � �rr t . _ '� _ �.���?`' : � ''�, . . R( g . �3 ., ;,�� .�^r : l.ii" �_.._ "'� : ��Ri_: �•I� �:y- a �f� : .._. r.._�t a-� t'��s. i. -. t N� �--�.. �'{ ..'r-k �ii, 'l-rl fit+J{�, fkl �:�I �';ti< •, "t + ��li � �, ^�r��� � � *p���:.���t _ T . Gir � �(._yy�� ' � " � � �:; �..,�!S.- . �. . . _ �t���f ._ _ „i4y, �;. _ r . :. . � - .. � "� �3.. `� , . ��- _ _�Y_ . - �j f } .:N. ` '� �7. �" - . �3 ' - ti ' . � . � �`. ;� � . ` j_ �` i! � •'n � � . - � �Fa�� `� � - . � � r " • . a. 'K ' '"��.. . ..�..�' -�.. i ' • u . '�S . " • _ . _ . .�. ' '� ir . __ _ � � : public`notice � . � � � i , � 4e ' .. . .� ' < * �O V W�M�1Yl��y��YYO��� � '.3• �IM� �MM++���1'MrN�R� � • f';; ' fW[ Y��MY`►RrM�Ml . �1�` N M�TM/M C+wd,�' .�,'-� � l : �wiw..'�M°�.�.�..r,'w'�':` - � �' . ' � � ���, � � 1}�° = e �� ` , � . f � . :4�= �� • t. � � •P �_ !.�y � - .. -.. } ,� � _ �. .. - gk� • . � , . i �:'^ .�,, . � �� , . ��' . , � .�� .., . '{' •��,tt'�t, . , _ � - : � � ��; ' . `.a '� #' . . - - , .� . �. ti„�° ;. . � �! . f � . . � f . , � : . � � � �: - _ , . ;�:� �. ,;�� `�. . `� _ ;. - �. _ . :�� . . .. ..��;�_ '. " _ . .. . 4 , . - � � . . _ � � � ' �_ � . . . _ . ' ' . jJ, � x{. _ .- . " " . � - •S� �:�� . � � • - _.� •'�.• =l . .}. 3 �i�• . • � � • ' . �~ �'' ' � . fZl� � .., ` . _ ( . . �i. . � ' � fi �: . 'l � �bamw^�rf.,___..._�' .. - . .. ` . . y Y ' _ . -.��'. . F _ -.... � . . �+�.r.., {z`. ' , .. . ' .+�-}� ' .� . � '�! �.. ' . . . ' . . � . . . . - . �{�'� _ - ,�"i , � ��'�' ., a�_ � _ . .. .- �. - � _ . �.. . . � . . , -�� � _ . . �. � - • �.. � - . . . : � ', . .._ - k�' � �_ . .v_ �_�. _ ;, _.,�.,. _ _ ��. . Y y - . ��Z •�: . . - ,. .'. -f_ +Jf j� �l.` a�.`. rA •. r. - : i<C •F}i+7` °�..�s: � � .v t di -'i r . _ .: � J ! t �� . t ��.. :�ry :_� .. �- -:� ��e �'� �.7 '�,�{� ..^ !.`. �y S�� 1 y� � �� ,t�_':%f�i. " ��'��t�� �_ �:.` �. � a: �i: �. .,� .� � ��R~ �" � � 1� �Lxc x�utiHC � 199Z CONlItlNITY SERVICB SLOCK G1t�iM7' I�ItOPOSliL F � PEHRUARY 19, 1992 - 1:30p� � �. ;� ;, AGENDA � � Pl�ItTTCIPATING AOENCIES: $AttOt1NT Aspen couns�linq Ceneer $2600.00 � Community Healttf Setvic8s �4274.00 Pitkin County 9Qnior 9arvicas $2624.00 . iNTRODt1CTION: Purposa e! Pundinq - S einutos , AG�f1CY PRESENTATION3: AspQn coun�Qiinq Canter Cat�gory - �arqQncy essistance Aas�vity • wental h�slth couns�linq !or indiqant ; ---�� Coe�unity Haaith sorviaas Cat�gocy - �arq�ncy s�si�tar�c� • � Aativity - Norplant Birth controi !or indiqaet � j Oiapnosis and car� ior saxvally transsittad � s disoase Eor lndiq�nt f Pitkin County Sanior Sarvlcas ` Catpory - Co»onity partieipation � �, Activity - 1►naual Sanior Discount proqra' bookl�t . '�!' Catpory - Coordiaats and astablish linkagss b�tw��n �� goverrasntal and othar social:ervic�proqra�s ,�_ - 1►ctivlty - Intorsaeio� and reLerral servieas to s�niors '~ .� DISCU88ZON: opsn toruw � +}U►NK YOU FOR YOUR P1�R1'ICIPJ►TION IN THIS PROC683 � :^ ; '� ;. � ;i 1kS 1 �.t� ! • ti . r'f � .Y� . ` • *�� �1�. 1 M. _ ,. ,;...� . . %"f� -; '� ' �,,,,". _ „ . . '' . : -«ti..a-�....w..W,.:.. �.......�.«....-a...�...__.-.-_:�.—_._. ._....._._._ �< . . �. .. ` �. • � t� '�,� _-. . ._. �.._+.'�4..� . � . .. . . . .�, I . •' .� �, _ . L.t � - , . , . .�,'�' � - .. .. . . �3 . . ' � �. �i� . . " �? z_ _ �. r L - . .��>'�:1 �.' .:._ . .._ . � ' 't-.7F.�� � .. ��� �i�f.�2t�'�r v�. ' .5 . / .�t, - ' .� � .+ � ' .�., ._• .-. " :. - 4�#_ � � � .,• f " ,h. L'�s'�� _ y+K ��.`. � �Z�,; � 4 �F' � :'�, +~ �'ri�4���i'���4�F���'�i� .'y��l"� 4�..v .�i?���Y�ls�� SKYL I NL S I X AM SLiI I Qlt SL'IiV I CL L(1�� . � . ulte: �epcn, Colu Hume: i'llk[n Cwntr Scalor Servlcee �rr+ � Acl-lvllys �R�CS�T �UbIIC.�C�rlc�j+bcl Uule: .. .. tHtills oE Sr v CLfE��T ��:��:--- ------ - �n CL I I:11T �fl��1L u:,��:_ _ �� ���...�.�:_.._- j:-- - , : � M:li.vit_v'..:.� ,.d�-,...��L � _ �� .._..._ �i�f'�I� ?` Iz��L�. - - --- - -- �` • !'- xf�,�s�;� � � -� ,����.�._....�_..._--- � � �' � /r�-n . . ; � ��_:...._.�.�. - - x , - - � r, � _ ; y ; . u :�: C�.:�1.�--�-... . �. ry �<r�`�� .�1��;� - -- - -- - � � - , . _ t.a e�'J.,G<. R.rz••1/x.+..r _ , . tt -- -- -- ---r— , z t.� ' 3� t'� • ._ _ - -` _ � ta �-; �' - - - --- -- -- '<= l�i,_. 17 lU ' � z� -- - .,;� Z` — — —— — _ -.� — — � 2 2 4i ' i >� 2A - '- ', «.;� Z� -._.....r_..-- -- — — - — — � � . - f� 26 -- ------- — �-. ' st � ��. � ---- --•— ^I----..,�,_---- _, , ,. r •;o . _ . _ .__ . . . �. � - �,. _ - .-^°._. _...... ...-..,_, . � . - • . � . . X �, . . . . ' . . � �,Qi• - . � • - . +���� • � �'s Y1!'. .....�._....�. IiNW11�Gi�Y�ii�wra. 1YI� ..�•'�. . . �. .:��r,ti��.:�� t� . r }, �'-'t� '}���"�'�'cr, i4�' t . t''t.a. :�' � �._' t�s . . ... � t�� .�-•�. }� - ' .Y' +r.� . , _ .�t e _ �.� �� - �.� ���• v .- 1 _�£ .:., _ „ � �, ,^ t� ,r`. 'r f.. � 4 c�a€ .'�s�� , . . _ �. .��►J''Y . ��������" f' 'o�+.`.-:.' ._ .. ,'_���;��C' � a � IV. Certifications • • 2'he grantee assures that funds available throuqh this proqram s+ill ' be used to accomplish the St�tp Goal and to meet the ObjeCtiVeS ;J: stated in the State C56G Guidelines. it is farther assured that 3- the proposed activities to be itiplemented with CSBG funds will meet ? ' the guidelines contained fn the Federal CSHG Leqislation, Tftle IV � of the Civil Rights Act, the Age Discriminatio� Act of 19'75, Che �i: , Rehabilitatian Act of 19�3, and the Stata of coYorado CSEG Plan. + Ths qrantpe also assures that it will: �� • • speciffcally consider, in a public neeting the designation of � any local public or private entity to carry out the county - com�aunity service aetivities under contract xith the connty, � any 1oca1 community action �gency (CAA) which received feda:al i fiscal 1981-82 funding; � ' prohibit any polltical activities by gr�ntega or contractora 1 beinq supported, in part or whola, by foder�l �unda providad # through thia proqram: i � • prohibit any activitiQS to provide votQra and prospsctivn , votora �rieh tranaportation co thQ polla or provide similar assistancQ in conoactton vith an alnction or any votar � raqi��ration activitys � ~ • Aaka avsilablo for public lnapnction aach plan praparQd as � � part o! eho proqrara planninq procsss. Tho grantos may, ae its ' initiativn, ravisa any plan praparad Eor CsBG Eunding and � ` �hal1 luznish tha revised pian to tha Exncutiva Diractor ot tho Cspartm�nL flE Local J►lfairi. Each pian praparad Eor aubmiision shall bo mad� availabla tor public lnspaction � withSn tha county and/or sarvica ar�a in such a mannar as will �� EaciliGaE� rwi�v ot� and commants on, th� plant �t` • provide tor coordination beEvaan community anti-povarty . �+!a p;ogrAws, whera appropriate, with amatqency energy arisis 't� irttarvention prograesa conducted in auch coa�munityr � osaka available appropci�tn books, docupa�ts, papers. and . recorda tor faopaciion, exaa�ination, copyiog, or wechanical � reproduction on or oEt the premises upoa reasonabla requeat by � ths U.S. Controller General, the Stata, or their authorized � rapresentatives should a� investigntion ot tha usas ot CSBG : lunds be undastakens ,_- � ' in the case o! non-pro[it private organizations contracting .i [or C58G tunda With the State, have•a board constituted so as � ._, to aasure that (A) one-third of the members of the board are * elected public officials currently holding office, or ' "� :'� :�� � t.1 . :�:� � ,_ � . �. : , ,.___ _._...,_..�_.,....._-----_� .__.-_____,�.,�,.,•• . . . . . :}; # .. . ' � {- . � . � : . . .-'t � �'"� . � - . ��•� -� . ' . . . � � • . .. . '. �i� , . � . . . . _ . " �h �'. _ � . � __ �, i � ` s. c�.,�t�} ,� _ .Y��' t ,�'u+�aT S� t Y -i +�t. t l ' _� ��� � i �"-��-�� `r`: '��!"t��fi :�'. � �'��`�o .ls��� __. ,.. ._. � y �' .����:. ,�� �k. 1 Certifications - Continued , officials reasonably available and villinq to serve is less "� than dne�third of the membership of the board, membership on the board of appointfve publia officials may be cnunt�d in f meeting such one-third require�aent; (H) at least one-third of th� merabers are persons chosen in accordance uith de�aoCratic i selection procedures adequate to assure that Chey are i . representative o# the poor in the areas served; and (C) the ; ; rem�inder of :he �ex►bers ere officia2s ortaembers of businesffi, ! - indusCry, labor, reliqiong, aelfare, education, or other nagor • qroupa and inter�gts in th� aotae�unity; ,_ ' in ths case oE county governments receivinq grant fundg, Mave ' ; an advisory coe+mittee on which ths poor, elderYy, and related service organizationg of the county are reasonably � • repres+�nted. ' � in the case oE counCy qovernsnents ot subqrantees which receive a CSBG auard in excsss of 5100,000, comp2y uith thQ followinq ihrQa c�rtificationa ralatad to tha "Limitation on usQ of appropria�ed funds to inPluQnca cortain Fadarai Contracting ; and Einancial transactiona (P.L. 101-121, Section 319 and USC ; Titio ]1 S@ction 1352)": - • ! 1. No Fadaral appropriatad Eundo hevs baQn paid or wiil ba paid by or on bahalf of thQ undarsiqnad, to any p�rson • Eor inEluQncinq or attawpting to intluenes an oEEicar ar amployee o! eny aqancy, a Maeabar of Conqrass, an olticor + or ampioyao ot Conqrass, or en amployae oE a Ho�abQr of Congrsss in connection viCh ehe awardinq ot any Federal coneract, continuaeion, r�nawal, amandmont, or � modiEication oE any Fadaral contract. grant, loan, or *,� cooperativo agreemant. �'' ' 2. I! any lunda other than Federal appropriated [unda have ;�!� been paid or will be paid to any peraon !or intluencing ,�� ` or attewpti�g to intluenca an otticar or eo�ployoo of aoy sga�cy, a Masnber ot Cooqreaa, an olticQr or employee oE . � Congreaa, or any eaployee o! a Member of Congreae in connection vith this Fadaral contract, grant, loan, or 1 coopetative agree�ont, the underaig�ed shall co�nplete and ` aubmit Standard Forea LLL, "Oisclosuro Form to Roport Lobbying," in accosdaaca vith its instruction. ]. Tho undcrsigned shall requir� that the languaga ot this certitication be included in the avard document for ; subavards at all tiers (including subcontracts, �4 ` subgrants, and contracts under grAnts, loans, and ' + cooperative agreements) and that all subracipients shall � eertify and disclose accordingly. .;� � ...•;;j t;� 8 �. .%�; �- ., _._ _._._ _._ __.,_ . .__ . _ _ _ �-__,,, • ---- -.. _ _. _�-. , �.. • `Sb�,a . ��`I ~ � . • - �i.- � � . . - . � � , n-� ya� �; � . . . . . . .. �•' ' - � ' � � � � � . . . ' � • �� � � . . ' . . . �" �. � � Y , M1 Sa�•:.` -� � �6-�,. . . i�� f�tM�S'��— i ;� °� t.v ���sK ��='f� 1 _ � � ,�:1 ,,,,; � 't t ' ��� i I7� `�! '�'� !�Q .'+� e i. :{_:.. :��Z.�-w�i� .•�. �l_�U{.'����Cg�i��������' "+Ti'SS�i�s. . . . . i:; � �:i i: �t ���r�0�: r �` . .` . :� � n � C dl/�/ C�G1'+i ff�. i .. �' posiTxorr• , r. � ,_ � Chairman of the 8oard of countiy Comnaissioners � if aounty grantee `` � Chairman of the Board of Direc�org - if muiti-caunty serviee , - orqanization with delegated contractinq authority. d ! Ie , � �,,�y � k _ � : • � �.ii � . � .�, � :�'� ; :;� � � . i x' � .� ,�. i - s. c , . �'" . ( �_ � - - - _ ` Si 1 1 ��� _ ,'� 9 ��; �i ,� :; - ; � _. _ ---__ ---___. _,r�� s_;_ , �. . • , - � �. + :� �..� � _��Y._E ..' � ' �� _ t� � , . .i✓ �� . . . . . . . - .. . . .` j�. . ��rt . +: ' . . �.{_.. F .{ .f. ' . . ' . � ... - . ;� �- _ . � ; . , � � - . � � .. .%��* 'r - . • `#_� . �-: . . . . _ . � w. „ -.